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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

ILLAN RIQUELME, Azahara; ZAMORA AMOROS, Carmen; GARRIDO BENITO, Beatriz  y  OLIVER GARCIA, Israel. Biliar injury in closed trauma: New trends in unusual injury. Rev Chil Cir [online]. 2017, vol.69, n.4, pp.325-327. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2016.09.013.

Aim: To report a clinical case of biliar injury intrapancreatic in closed abdominal trauma. Clinical case: Patient who comes to the emergency room by severe abdominal pain after suffering thoraco-abdominal blunt trauma after falling from a bicycle. After his admission he developed fever, jaundice and analytical standards of cholestasis. Magnetic resonance which failed to correctly assess the bile duct was requested but showed plenty of intra-abdominal fluid blood that did not match. Emergency surgery for suspected biliary injury was reported. Intrapancreatic injury bile duct was observed by intraoperative cholangiography and prosthesis was decided intrabiliary by intraoperative endoscopic retrograde cholangiopancreatography (ERCP). Conclusions: Surgery has been the standard treatment for bile duct injury, but now ERCP with sphincterotomy and placement of intrabiliary prosthesis is adequate and operative treatment of these injuries and can be considered as first-line treatment.

Palabras clave : Biliar injury; Biliary peritonitis; Biliary prosthesis.

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